The Health Promotion and Resource Center (HPRC/MSM) at Morehouse School of Medicine proposes to implement the Taking Time for Teens Program (T3P). In collaboration with Public Health District 8-2 (PHD 8-2) in Southwest Georgia, T3P will target the counties with the highest teen birth rates in the district with intensive interventions and counties with lower teen births with “primary” prevention education interventions to reduce wide-spread health disparities for the social determinants of health that contribute to teen pregnancy, STIs and related risk behavior. The program is comprised of multiple effective programs that address sexual risk behavior, and substance abuse and delinquency as a related risk behavior. The program will also implement supportive services such as social skills groups, youth leadership and community service, parent engagement, and environmental strategies for community mobilization to support youth change. The program will be implemented in PHD 8-2 through lead sub-contractor Phoebe Putney Health Centers in partnership with the Taking Time for Teens (T3) consortium that will provide: capacity/collaborative building, support, training, evidence-based programming and evaluation to counties in the district. The target population is male and female high school youth with special recruitment of African-American teens that are hardest hit by health disparities and high rates of teen births. The goals are to 1) Strengthen the PHD 8-2 social and health system to improve optimal adolescent health, 2) Reduce sexual risk (and related risk) behavior that leads to teen pregnancy, and 3) Increase positive youth behaviors known to protect against teen pregnancy. A high quality quasi-experimental design will test the effects of the program interventions.